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NPR
Shots - Health News
Should doctors choose lactated Ringer's solution (right) or normal saline?

Why Did Sterile Salt Water Become The IV Fluid Of Choice?

Mar 31, 2018
IV bags filled with what's called normal saline are used to treat problems ranging from vomiting to lightheadedness. But evidence for the use of saline over other intravenous options is scant.
NPR
Shots - Health News
Feranmi Okanlami, now a doctor, became partially paralyzed after an accident in 2013. He says adjustments for his disability during his training, like this standing in frame chair, helped him succeed. A new report finds variability in medical institution

For Aspiring Doctors With Disabilities, Many Medical Schools Come Up Short

Mar 13, 2018
A national survey finds medical schools should do more to help doctors with disabilities thrive. While some schools do make needed accommodations, others need to take basic steps to take to help.
NPR
Shots - Health News
When it comes to chronic pain, how do patients and doctors find the right treatment?

Questions And Answers About Opioids And Chronic Pain

Mar 09, 2018
Are opioids the best way to manage long-term pain? NPR's Ari Shapiro talked with Dr. Ajay Wasan, a pain specialist at the University of Pittsburgh Medical Center, to find out.
NPR
Shots - Health News
Dr. Muhammed Farhan favors nonopioid approaches to treating pain, including mind-body methods like meditation and yoga.

Opioids Don't Beat Other Medications For Chronic Pain

Mar 06, 2018
Nonopioid treatments for common conditions that leave people in chronic pain fare as well as opioid treatments and have fewer risks and side effects.
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NPR
Shots - Health News

When Opioids Make Pain Worse

Mar 03, 2018
For some people, something as simple as having an IV line inserted can be excruciating. An emergency room doctor noticed a strange pattern. Many of these sensitive patients were regular opioid users.
NPR
The Salt
Sure, this elixir is tasty and comforting, but will it actually soothe your sore throat and help bring your voice back?

Tea, Honey And Lemon: Does This Classic Trifecta Actually Help A Sore Throat?

Feb 23, 2018
The time-honored elixir gets mixed reviews from doctors and, depending on factors such as caffeine or acids, might even make symptoms worse. Another complication: The scientific research is murky.
NPR
Shots - Health News
Dr. David Carlbom, a critical care pulmonologist at UW Medicine's Harborview Medical Center, says sepsis has long frustrated clinicians. "There's no blood test," he says. "There's nothing you can look at under the microscope and say 'this is sepsis.' "

Synergy Between Nurses And Automation Could Be Key To Finding Sepsis Early

Feb 22, 2018

A bedside computer loaded with software that tracks vital signs in the ICU can pick up early warning patterns, specialists say. But it takes a human care provider to sort the signal from the noise.

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NPR
Shots - Health News
Bottles of Purdue Pharma L.P. OxyContin medication sit on a pharmacy shelf in Provo, Utah, in 2016.

Doctors In Maine Say Halt In OxyContin Marketing Comes '20 Years Late'

Feb 13, 2018
Purdue Pharma, maker of OxyContin, won't promote opioids to doctors anymore. In Maine, physicians say the change should have happened long ago.
NPR
Shots - Health News
Without CHIP, dental hygienist Marina Natali says she couldn't afford health coverage for her sons, 15-year-old Marcus (left) and 12-year-old Ciro. When Ciro broke his arm ice-skating last year, CHIP covered his medical bills.

Scramble Is On To Care For Kids If Insurance Coverage Lapses

Jan 12, 2018
Doctors are telling families to refill prescriptions now. Other physicians are giving away drugs to make sure patients have enough if the Children's Health Insurance Program goes unfunded.
NPR
Shots - Health News
"To listen to our patients with a generous ear does require a willingness to relinquish control of the narrative," Dr. Rana Awdish says in her book.

Brush With Death Leads Doctor To Focus On Patient Perspective

Jan 03, 2018
As a patient, a critically ill doctor witnesses communication lapses, uncoordinated care and lack of empathy from her health care providers and vows to improve the patient experience for others.
NPR
Shots - Health News
Dr. James Mold, a family physician and author of <em>A</em><em>chieving Your Personal Health Goals</em>, says doctors should work with their patients to set mutually agreed-upon goals throughout life.

How To Work With Your Doctor On Healthier Goals For The New Year

Dec 31, 2017
What health goals will you reach for in 2018? And which, if any, will you discuss with your doctor?
NPR
Shots - Health News
James Sugiyama, a Toronto-based doctor, watched Sen. Sanders' speech on livestream from a restaurant down the street. The Vermont senator is viewed as a "folk hero" by many Canadians, he said.

Heading North: American Doctors Report Back From Canada

Dec 14, 2017

Advocates for single-payer health care in the U.S. often look to Canada as a model. But some American doctors practicing there wonder whether the U.S. is ready to call health care a right.

NPR
Shots - Health News

7 Ways You Can Protect Yourself From Outrageous Medical Bills

Nov 29, 2017
Prepare to joust over bills with hospitals, medical providers and insurers. You can win by being smart and assertive and acting before a test or treatment is administered.
NPR
Shots - Health News
After two weeks of recovery from an addiction to opioids prescribed by her surgeon, Katie Herzog takes a walk with her dog, Pippen.

Should Hospitals Be Punished For Post-Surgical Patients' Opioid Addiction?

Nov 26, 2017
Many surgeons prescribe strong pain medicine without knowing how much their patients actually need. A group of doctors says hospitals should be accountable for patients' long-term opioid use.
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NPR
Shots - Health News
Problems with a diesel generator recently led to the cancellation of 70 patients' appointments, says Dr. Fernando Zalduondo Dubner, medical director of San Patricio Medflix in San Juan, Puerto Rico.

Lingering Power Outage In Puerto Rico Strains Health Care System

Oct 30, 2017
The Puerto Rican government has prioritized getting power back to hospitals. Many clinics and doctors' offices, like other small businesses on the island, still don't have electricity.
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NPR
Shots - Health News
Berggren and her patients and colleagues waited for days to be evacuated from Charity Hospital, which was surrounded by floodwaters from Hurricane Katrina.

A Doctor Who Weathered Katrina Now Tends Victims Of Harvey

Sep 05, 2017
Dr. Ruth Berggren spent six days struggling to keep patients alive in in New Orleans' Charity Hospital after Hurricane Katrina hit. She's now caring for evacuees from Hurricane Harvey.
NPR
Shots - Health News
Brian Rockett runs a wholesale lobster business in Maine, despite his chronic pain from past injuries. He needs high doses of opioids to be able to work, he says, and his doctor agrees.

Intent On Reversing Its Opioid Epidemic, A State Limits Prescriptions

Aug 23, 2017
Maine is among a handful of states putting limits on the painkiller dose that doctors can prescribe a patient. Some doctors and patients say the law is helping, while others say it goes too far.
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NPR
Shots - Health News
While doctors and nurses have an ethical duty to treat all patients, they are not immune to feelings of dread when it comes to patients who are hateful or belligerent. A well-known <a href="http://www.nejm.org/doi/full/10.1056/NEJM197804202981605">articl

After Charlottesville, A Doctor Reflects On Hateful Patients And His Own Biases

Aug 16, 2017
Medical professionals take pride in their commitment to care for all patients. But that pride doesn't shield them from the difficult ones.
NPR
Shots - Health News
Valeant Pharmaceuticals, based in Bridgewater Township, N.J., bought two specialty heart drugs used in emergency treatment from Marathon Pharmaceuticals in 2015, and then dramatically increased each drug's price.<strong> </strong>

47 Hospitals Slashed Their Use Of Two Key Heart Drugs After Huge Price Hikes

Aug 09, 2017
These two older drugs, nitroprusside and isoproterenol, are frequently used in emergency and intensive care situations and have no direct alternatives, say cardiologists.
NPR
Shots - Health News
Before becoming president and CEO of Children's National, Newman was a surgeon at the hospital.

'Healing Children': A Surgeon's Take On What Kids Need

Jul 01, 2017
Dr. Kurt Newman has spent his career caring for children. In a new book, he argues that children are not just smaller adults, and the differences matter for their treatment.
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NPR
Shots - Health News
Calls for tort reform in regards to medical malpractice are popular on the campaign trail. But <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3048809/">research</a> shows that costs from medical liability make up just 2 to 2.5 percent of total hea

This GOP Health Bill Proposes New Limits To Medical Malpractice Awards

Jun 28, 2017
The bill H.R. 1215 would limit awards for non-economic damages — such as pain and suffering — to $250,000. President Trump supports the bill, but many others across the political spectrum don't.
NPR
Shots - Health News
Dr. Vanessa Grubbs was a primary care doctor when she met Robert Phillips. She says seeing how difficult life can be for people with chronic kidney disease was part of what led her to further specialize in nephrology.

'Interlaced Fingers' Traces Roots Of Racial Disparity In Kidney Transplants

Jun 24, 2017
When Dr. Vanessa Grubbs fell in love with a man whose kidneys were failing, he'd been waiting for a transplant for years. Her book explores the ways racial inequity is embedded in the system.
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NPR
Shots - Health News
In theory, "direct primary care" should result in better health for patients and lower health care costs overall. But some analysts say that approach just encourages the worried well to get more care than they need.

A Pioneer In 'Flat-Fee Primary Care' Had To Close Its Clinics. What Went Wrong?

Jun 20, 2017
Many patients liked the Qliance approach, which gave them unlimited access to a provider for a modest fee and freed doctors from insurance paperwork. But critics say the approach may not be viable.
NPR
Shots - Health News
A 4-year-old regulation in New York state requires doctors and hospitals to treat sepsis using a protocol that some researchers now question.

Are State Rules For Treating Sepsis Really Saving Lives?

May 30, 2017
Some states dictate how doctors must treat this life-threatening reaction to infection, and early intervention is helping. But scientific evidence may be changing too rapidly for the rules to keep up.
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NPR
Shots - Health News
Anton Wintrich introduced this percussion hammer model in 1841.

In The Age Of Digital Medicine, The Humble Reflex Hammer Hangs On

May 28, 2017
Nearly 130 years since its inception, a modest knob of rubber with a metal handle is still invaluable in diagnosing disease and avoiding expensive testing. But its history is anything but simple.

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